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Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
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The Medicare Shared Savings Program has created the impetus for accountable care organizations. But financial leaders should heed two important lessons from past integration efforts-and six influential forces-before pursuing an accountable care organization.
By expanding a preexisting occupational medicine program into a full-fledged health management consulting business, ProHealth Care has forged closer partnerships with local employers and expanded overall market share.
In two years, a health system went from losing $10 million in operations to earning about $7 million, which allowed it to restructure its debt.
An interview with Richard J. Zall To be successful in today's highly competitive and cost conscious environment, hospitals need to be closely linked with their physicians. One way hospitals are going about this is to acquire physician practices. But how
Read about some billing and collection pitfalls that hospitals should avoid when acquiring physician practices.
Unity Medical Group, which was previously limited to 75 employed primary care physicians, is expanding to include 100 additional employed physicians.
By consolidating their home health departments, multiple hospitals could feasibly compete against national corporations that are currently turning a profit in the home health arena.
Joint ventures with physicians can help health systems expand their geographic presence, improve their bottom line and delivery of care, increase physician satisfaction, and reduce outmigration of cases.
By merging with IHA, a large multispecialty group, Saint Joseph Mercy Health System acquired many of the components it needed to establish an accountable health network.
Current valuation levels will remain firm during 2011 and into 2012. However, beyond 2012, transaction valuations may experience downward pressure.
Hospitals and health systems contemplating a merger or acquisition can boost their chances of improved financial performance by focusing on some key factors.
Before St. Vincent's Hospital and Eastern Health System formally merged, they successfully consolidated their business offices.
Not-for-profit Abington Health has extended its mission in recent years by acquiring two for profit hospitals, says CFO Michael B. Walsh.
Sharp HealthCare has formed a preferred provider, value-based purchasing arrangement with a major employer and payer, forming San Diego County's first tiered HMO network.
Smart facility planning can help improve efficiencies and reduces surplus capacity after a merger or acquisition.
A list of key items/data to analyze during the due diligence stage of a merger or acquisition.
List of potential cost savings from M&As, beyond staffing cuts of 5 percent to 10 percent in redundant departments and processes.
"The most important way of dealing with monumental change is to have frequent, timely, and transparent communications," says Richard J. Henley.
Virginia Mason saves local employers healthcare costs by reducing unnecessary treatments and needless referrals to specialists.
Skilled nursing facilities that participated in an INTERACT quality improvement project experienced a 17 percent year-over-year reduction in hospital admissions.
Horizon BCBSNJ provides medical groups with extensive operational and financial support, including a paid nurse to coordinate the care of high-risk patients, a care coordination fee, and shared savings payments.
Baylor Health Care System believes that an accountable care organization (ACO) should start with a conviction that every aspect of the organization should be devoted to serving patients.
Partnership between Cleveland Clinic and Chester County Hospital has proved to be a win-win business affiliation for both organizations.
South Carolina hospital leaders are joining forces with payers, clinics, churches, and others in a community effort to improve population health.
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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